Treatment of a Large Gluteal Hydatid Cyst in Syria Using a Manual Negative Pressure Wound Therapy Device (PragmaVAC).
| Autor: | Netfagi M; Department of Surgery, Rahma Darkoush Hospital, Darkoush, Syria., Alshaer H; Pragmatic Innovation Inc, Mississauga-Toronto, Ontario, Canada., Abbara A; Imperial College, London, United Kingdom., Hariri M; Department of Education, Syrian Board of Medical Specialties, Gaziantep, Turkey. |
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| Jazyk: | angličtina |
| Zdroj: | Avicenna journal of medicine [Avicenna J Med] 2024 Sep 25; Vol. 14 (3), pp. 179-181. Date of Electronic Publication: 2024 Sep 25 (Print Publication: 2024). |
| DOI: | 10.1055/s-0044-1788773 |
| Abstrakt: | The lungs and liver are the most common sites of hydatid cysts, but they may also be found in other organs. We report the case of a lady in her 50s who presented to a hospital in northwest Syria with a large swelling in the right gluteal region. This was diagnosed as a gluteal abscess, and an incision and drainage were performed. Intraoperatively, a hydatid cyst germinal membrane was noted. She had the required imaging to exclude other cysts, which revealed a liver hydatid cyst of 7.5 cm, which was treated with PAIR (puncture, aspiration, injection, and re-aspiration) and albendazole. The residual wound was closed using a manual vacuum-assisted closure (VAC) pump for seven days. A key lesson is that a hydatid cyst in the gluteal muscles, though rare, should be considered in the differential diagnosis. We also show that the innovative use of a manual VAC pump can be used to support closure of large hydatid cyst cavities in muscles. Competing Interests: Conflict of Interest M.N., M.H., and H.A. are supported by Grand Challenges Canada. H.A. receives a salary from PragmaVac Innovations, the producer of PragmaVAC. A.A. has no competing interests. (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ).) |
| Databáze: | MEDLINE |
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